Individual provider Active NPI

Kristen Tasch

  • Physical Therapist
  • Bethpage, NY
National Provider Identifier
1467919100
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044081-1 Issued in NY
Practice address
4277 Hempstead Tpke
Bethpage, NY 11714-5709
Phone
(516) 731-3583
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044081-1 NY Primary

Addresses

Primary practice location

4277 Hempstead Tpke
Bethpage, NY 11714-5709

Mailing address

231 Park Blvd
Massapequa Park, NY 11762-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000995 NY Practitioner - Physical Therapist in Private Practice 4688916315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Physical Therapy of Long IslandGroup PAC ID 3072771948, 8 clinicians

Practice addresses (Care Compare)

8 Saxon Ave
Suite B
Bay Shore, NY 11706-7036
Phone (631) 328-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044081-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Physical Therapy of Long Island Physical Therapist CurrentSince Jun 17, 2019 Accepting new patients
Lake Shore Physical Therapy, P.C. Physical Therapist PastSince Mar 25, 2019 Accepting new patients

Locations

8 Saxon Ave
Ste B
Bay Shore, NY 11706
Phone (631) 328-2624

560 Walt Whitman Rd
Ste 1
Melville, NY 11747
Phone (631) 923-2288

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1467919100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044081-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.